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Abstract：
OBJECTIVE: To determine trends for Georgia and contiguous state residents seeking abortions in Georgia between 1994 and 2016.
METHODS: We analyzed aggregate vital statistics data, collected in Georgia, on Georgia residents (n = 675,995) and contiguous state residents (Alabama, Florida, North Carolina, South Carolina, Tennessee) (n = 76,232) obtaining abortion and delivery services in Georgia between 1994 and 2016. We examined demographic, pregnancy, and abortion characteristics using counts, ratios, and χ2 tests of proportion.
RESULTS: Of the data analyzed, 10.1% of all abortions were for contiguous state residents. The number of abortions in Georgia for contiguous state residents increased 35.3% from 1994 to 2016 (from n = 3115 to n = 4216) while it decreased for Georgia residents by 11.1% (from n = 32,934 to n = 29,264). Contiguous state residents exhibited a higher abortion ratio (1115) compared to Georgia women (224). These populations exhibited statistically significant differences across all variables and time points. Both populations demonstrated similar trends in ethnicity, race, education, marital status, and age. However, contiguous state residents were more likely to obtain an abortion at ≥ 20 weeks gestational age (13.8%) and obtained a lower proportion of suction curettage abortions (60.0%) and a higher proportion of dilation and evacuation procedures (31.9%). They were also less likely to be primigravid.
CONCLUSIONS: Women from neighboring states seek abortions in Georgia later in gestation and may therefore lack affordable, safe, early abortion care in their home states. Understanding trends in travel for abortion can allow providers and policymakers to better respond to the needs of patients.
METHODS: We analyzed aggregate vital statistics data, collected in Georgia, on Georgia residents (n = 675,995) and contiguous state residents (Alabama, Florida, North Carolina, South Carolina, Tennessee) (n = 76,232) obtaining abortion and delivery services in Georgia between 1994 and 2016. We examined demographic, pregnancy, and abortion characteristics using counts, ratios, and χ2 tests of proportion.
RESULTS: Of the data analyzed, 10.1% of all abortions were for contiguous state residents. The number of abortions in Georgia for contiguous state residents increased 35.3% from 1994 to 2016 (from n = 3115 to n = 4216) while it decreased for Georgia residents by 11.1% (from n = 32,934 to n = 29,264). Contiguous state residents exhibited a higher abortion ratio (1115) compared to Georgia women (224). These populations exhibited statistically significant differences across all variables and time points. Both populations demonstrated similar trends in ethnicity, race, education, marital status, and age. However, contiguous state residents were more likely to obtain an abortion at ≥ 20 weeks gestational age (13.8%) and obtained a lower proportion of suction curettage abortions (60.0%) and a higher proportion of dilation and evacuation procedures (31.9%). They were also less likely to be primigravid.
CONCLUSIONS: Women from neighboring states seek abortions in Georgia later in gestation and may therefore lack affordable, safe, early abortion care in their home states. Understanding trends in travel for abortion can allow providers and policymakers to better respond to the needs of patients.
摘要：
目标：确定1994年至2016年期间佐治亚州和邻近州居民寻求堕胎的趋势。
方法：我们分析了汇总的重要统计数据，收集在格鲁吉亚，关于佐治亚州居民(n=675,995)和邻近的州居民(阿拉巴马州，佛罗里达,北卡罗来纳州,南卡罗来纳州,田纳西州）（n=76,232）在1994年至2016年之间在佐治亚州获得堕胎和分娩服务。我们检查了人口统计，怀孕,和使用计数的堕胎特征，比率，比例和χ2检验。
结果：在分析的数据中，所有堕胎中有10.1％是连续的州居民。从1994年到2016年，佐治亚州连续州居民的堕胎数量增加了35.3％（从n=3115到n=4216），而佐治亚州居民的堕胎数量减少了11.1％（从n=32,934到n=29,264）。与佐治亚州妇女（224）相比，连续州居民的堕胎率（1115）更高。这些群体在所有变量和时间点表现出统计学上的显著差异。两种人口在种族上表现出相似的趋势，种族,教育,婚姻状况,和年龄。然而,邻近的州居民在胎龄≥20周时更有可能流产（13.8％），并且吸痰刮宫流产的比例较低（60.0％），扩张和疏散手术的比例较高（31.9％）。他们也不太可能成为primigravid。
结论：来自邻国的妇女在妊娠后期在佐治亚州寻求堕胎，因此可能无法负担得起，安全,在他们的家乡早期堕胎护理。了解堕胎旅行的趋势可以使提供者和决策者更好地满足患者的需求。
方法：我们分析了汇总的重要统计数据，收集在格鲁吉亚，关于佐治亚州居民(n=675,995)和邻近的州居民(阿拉巴马州，佛罗里达,北卡罗来纳州,南卡罗来纳州,田纳西州）（n=76,232）在1994年至2016年之间在佐治亚州获得堕胎和分娩服务。我们检查了人口统计，怀孕,和使用计数的堕胎特征，比率，比例和χ2检验。
结果：在分析的数据中，所有堕胎中有10.1％是连续的州居民。从1994年到2016年，佐治亚州连续州居民的堕胎数量增加了35.3％（从n=3115到n=4216），而佐治亚州居民的堕胎数量减少了11.1％（从n=32,934到n=29,264）。与佐治亚州妇女（224）相比，连续州居民的堕胎率（1115）更高。这些群体在所有变量和时间点表现出统计学上的显著差异。两种人口在种族上表现出相似的趋势，种族,教育,婚姻状况,和年龄。然而,邻近的州居民在胎龄≥20周时更有可能流产（13.8％），并且吸痰刮宫流产的比例较低（60.0％），扩张和疏散手术的比例较高（31.9％）。他们也不太可能成为primigravid。
结论：来自邻国的妇女在妊娠后期在佐治亚州寻求堕胎，因此可能无法负担得起，安全,在他们的家乡早期堕胎护理。了解堕胎旅行的趋势可以使提供者和决策者更好地满足患者的需求。
